| NPI | 1669795647 |
|---|---|
| Doing Business As | BROADUS IGA PHARMACY |
| Doing Business As | BROADUS IGA |
| Entity Type | Organization |
| Authorized Contact | JAMI JO SCHROEDER Pharmacist In Charge/Manager 406-436-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1305) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2022-02-15 |